Contact Form for Spouse Phone-in Group
What: This Eshel National phone-in group is a confidential gathering for straight spouses, or former spouses, of LGBT individuals who are Orthodox, Ortho-curious, or formerly Orthodox. It provides a safe space for spouses to connect with other spouses to discuss issues relating to their marriage, to provide the support and tools necessary, and to establish community support.

When:  Meetings take place on the third Wednesday of the month unless otherwise noted on our website.

Where: This is a phone-in group, taking place via conference call. Dial-in instructions will be provided to participants via email prior to each meeting.

Notes:
All information on this form will be kept confidential.  Participants are expected to adhere to strict confidentiality.
Potential participants will be contacted via phone following submission of this form.
This is a pilot group that will take place for 6 months and be re-evaluated following this time period.
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Full Name: *
Email: *
Phone: *
What is your Zip Code?
Marital status: *
How many children do you have?
Please tell us a little about yourself and your spouse or ex-spouse?
Do you have support in dealing with your current situation?
What do you hope to get out of this group?
Can we add you to the mailing list? If so, please provide your address, phone and contact info:
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